Spina Bifida(Neurogenic bladder.)

 Neurogenic bladder , which is usually treated by ileal conduit. It is urinary diversion procedure in which terminal part of intestine , Ileum is dissected and anastomosed with ureters with one end and second end with skin (Stoma formation). we often come across cases in nephrology practice where patients with history of Spina bifida come as renal failure which is complication of this neurogenic bladder.
Now these patients usually need renal replacement therapy. Whenever we consider Peritoneal dialysis in these patients, we must consider patients ventriculo-peritoneal shunt which is often placed in these pateint because of Hydrocephalous. Therefor these children would be prone to meningitis if PD is initiated.